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Insurance Discuss insurance topics for the gastric bypass and Lap BandŽ operations.

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Old 10-11-2009, 05:14 PM   #2041 (permalink)
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he needs to check with his insurance...

I am on my husbands bcbs and they required the 6 months.

At my job, we have bcbs and through my work they don't even cover the surgery at all.

It depends on his company... he needs to call himself.
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Old 10-12-2009, 09:15 AM   #2042 (permalink)
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Default Bc/bs

Quote:
Originally Posted by Jeweld View Post
Does anyone have Bluecross? I have a friend who has it and I am trying to find out some info. for him. Do they require the six months?

I have 2 different BC/BS policies. My husband's is BC/BS of Iowa Blue Access, no 6 month diet required. My insurance is BC/BS of Minnesota and they required the six month diet if I didn't have a doctor supervised diet within the last 2 years. My best suggestion is to check your policy(ies). Call the customer service folks to get the requirements. Also, some insurance companies have the benefits available online if you click on "provider" and search for the specific type of procedure. That's how I found the requirements and limitations for the RNY plus for panniulectomy (sp) (basically removing the hanging belly skin).

I hope that helps a little.
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Insurance approval received at the beginning of August.
Diagnosed Grave's Disease hyperthyroidism at beginning of August.
GD hyperthyroidism within normal ranges at end of September.
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Old 10-12-2009, 09:22 AM   #2043 (permalink)
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Location: Missouri
Surgeon: Dr. Christopher Kowalski
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Surgery Date: 10/14/2009
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i do believe it just depends on your policy. Mine in the beginning required 6 month but changed to 3 month...BCBS Illinios.
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Old 10-12-2009, 09:27 AM   #2044 (permalink)
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Default Surgery Date!!!!

I know I've been awfully quiet these last few months, it's been stressful to say the least. But I have my surgery date. November 3rd 2009. I started my liquid diet today, although technically I don't have to start until next Monday, I want to get a jump start on it since I've gained so much in the months since my approval and diagnosis with Grave's Disease hyperthyroidism.

I'm afraid that if I don't at least get down to what I was when we sent in for approval my surgery won't go as smoothly as it could.

Every now and again I have the "OMG! It's real, it's really going to happen!" moments and I get a little scared. I'd liken it to the last month of pregnancy and realizing you're going to give birth soon and it's too late to change your mind.

I can't change my mind, I've put too much work into getting to this point, so all I can do is take it one day at a time and visualize the absolute best outcome. I see my bariatric team next Friday the 23rd for my pre-op and I'm SO hoping that I'll be a little lighter by then so they won't be as put out with me for gaining weight like I did.

I can't believe it's finally going to happen. I keep cringing, waiting for yet another road block, but at the same time I'm living as if it is happening. No more acting as if it doesn't matter because it "may not happen".
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Insurance approval received at the beginning of August.
Diagnosed Grave's Disease hyperthyroidism at beginning of August.
GD hyperthyroidism within normal ranges at end of September.
Surgery date 11/3/09


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Old 10-12-2009, 10:04 AM   #2045 (permalink)
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Location: Toronto, Ontario, Canada
Surgeon: Dr. L. Smith
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Surgery Date: 06/15/2009
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Quote:
Originally Posted by JustJoy View Post
I know I've been awfully quiet these last few months, it's been stressful to say the least. But I have my surgery date. November 3rd 2009. I started my liquid diet today, although technically I don't have to start until next Monday, I want to get a jump start on it since I've gained so much in the months since my approval and diagnosis with Grave's Disease hyperthyroidism.

I'm afraid that if I don't at least get down to what I was when we sent in for approval my surgery won't go as smoothly as it could.

Every now and again I have the "OMG! It's real, it's really going to happen!" moments and I get a little scared. I'd liken it to the last month of pregnancy and realizing you're going to give birth soon and it's too late to change your mind.

I can't change my mind, I've put too much work into getting to this point, so all I can do is take it one day at a time and visualize the absolute best outcome. I see my bariatric team next Friday the 23rd for my pre-op and I'm SO hoping that I'll be a little lighter by then so they won't be as put out with me for gaining weight like I did.

I can't believe it's finally going to happen. I keep cringing, waiting for yet another road block, but at the same time I'm living as if it is happening. No more acting as if it doesn't matter because it "may not happen".

The next few weeks will fly by and you'll soon be looking back and saying to yourself, "Gee, did I really have the surgery - I feel great!" Don't fret too much, the liquid diet should give you that kick start you are hoping for, but I would suggest that you talk to the team and let them know you are planning to begin a week early, just to make sure you will get the proper nutrition pre-surgery. You need your strength. Keep us informed - I'll look forward to following your progress.
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Old 10-20-2009, 02:02 PM   #2046 (permalink)
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Quote:
Originally Posted by JustJoy View Post
I know I've been awfully quiet these last few months, it's been stressful to say the least. But I have my surgery date. November 3rd 2009. I started my liquid diet today, although technically I don't have to start until next Monday, I want to get a jump start on it since I've gained so much in the months since my approval and diagnosis with Grave's Disease hyperthyroidism.

I'm afraid that if I don't at least get down to what I was when we sent in for approval my surgery won't go as smoothly as it could.

Every now and again I have the "OMG! It's real, it's really going to happen!" moments and I get a little scared. I'd liken it to the last month of pregnancy and realizing you're going to give birth soon and it's too late to change your mind.

I can't change my mind, I've put too much work into getting to this point, so all I can do is take it one day at a time and visualize the absolute best outcome. I see my bariatric team next Friday the 23rd for my pre-op and I'm SO hoping that I'll be a little lighter by then so they won't be as put out with me for gaining weight like I did.

I can't believe it's finally going to happen. I keep cringing, waiting for yet another road block, but at the same time I'm living as if it is happening. No more acting as if it doesn't matter because it "may not happen".
I am so sorry for your suffering. Graves is can be very hard, though I am sure it is something of a relief to finally have a diagonsis and treatment.

Grats on your date! Only a bit to go to your 'rebirth'!


I started my six months yesterday, have even been out walking (and have the swollen ankles to prove it!) *cheers us all on*
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Old 10-22-2009, 07:57 AM   #2047 (permalink)
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I called my surgeons office Monday and they got everything back from the therapist so now they submit everything to the insurance. So now I wait. She said they would submit it this week. I hope I get approved.
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Old 11-05-2009, 11:39 AM   #2048 (permalink)
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Surgeon: Dr. Jeffrey Strain
Start Weight: 241
Current Weight: 197
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Surgery Date: 09/17/2009
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I guess no one else has to do the six months? How is everyone doing? Where is everybody? LOL
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Old 11-05-2009, 11:45 AM   #2049 (permalink)
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I want to know what happen to the OP? I hope all went well.
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Old 11-05-2009, 05:28 PM   #2050 (permalink)
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It will be my 3rd visit of the six on 11/11. I will finish up in Feb with my 6th visit. I have an appt on 2/22 with the surgeon and his office will be submitting everything then to Direct Blue BC/BS insurance. Trying to use this time to figure out what shakes to buy , what I will be able to eat and how I am going to squeeze exercise into my day. Thinking about next year at this time, Halloween 2010, and how I will NOT be snitching a piece of candy from my kids Halloween stash each day! Say goodbye to all those mini Snickers, Twix, Kitkats, my fav Mounds.
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